Pain relief tablets. Pills for pain in muscles and joints: an overview of drugs

If a person periodically manifests intense pain in the back, as well as in the lower back, in the joints, first of all, it is important to determine the reasons why such signs appear. After all, the back can hurt due to various reasons: it can be a backache due to hypothermia, lumbago , development . Pain causes and pinching sciatic nerve and other manifestations. But if your back hurts, taking painkillers is not enough. It is necessary to undergo a course of therapy prescribed by a doctor, in particular, to inject anti-inflammatory injections from the back, which were prescribed by a specialist.

To choose the right treatment tactics, it is important to consult a number of specialists: visit an osteopath, a neurologist, if necessary, consult a gynecologist, urologist, gastroenterologist, because sometimes the back hurts not only due to spasm of muscles and ligaments, but also due to diseases of the internal organs.

After the doctor has established the diagnosis, the patient is prescribed complex treatment: the course includes B vitamins, NSAIDs, painkillers, sometimes - steroid drugs, .

Treating back pain with injections

Currently, doctors offer many schemes on how to treat acute back pain. Moreover, there are much more algorithms on how to relieve pain if it “entered the back” than several decades ago. The main drugs that are prescribed to relieve acute pain are non-steroidal anti-inflammatory drugs that help relieve inflammation, help relieve pain, are used to muscle blockades .

After the medicine has relieved the patient's condition, it is not currently recommended to practice immobilization of the patient. He is prescribed not only painkillers injections for pain in the back and lower back, but also massage sessions, physiotherapy exercises. As a general rule, doctors advise patients with pain not to restrict activity as much as they can.

Before drinking painkillers for back pain, it is important to know the exact diagnosis and take into account all the contraindications and side effects of such drugs. Any injections for back pain (the name of the drug does not matter) are used only after approval by a specialist.

Currently, injections and pills for pain in the back, lower back are very often prescribed, which contain a combination b vitamins . It has been proven that B vitamins in injections can provide moderate pain relief. Complex preparations used for this purpose contain vitamins B1, B12, B6 .

Injections of group B vitamins provide a neurotropic effect. They normalize the innervation of the muscles, affect metabolic processes, improve the condition of the nervous system, contribute to the restoration of damaged nerves.

A lot of various studies have been conducted, during which scientists have obtained evidence that B vitamins in injections made it possible to relieve pain on acute phases inflammatory process when they are used in complex therapy.

Therefore, these vitamins can be used both in combination and separately - vitamins B6 and B12. Injections, instructions for the use of which are always included in the kit, must be carried out correctly. It is important to consider how to properly inject B vitamins in order to avoid local reaction and get the desired effect.

Complex vitamins in injections, as a rule, contain an anesthetic in the composition, which allows you to enhance the analgesic effect. They also contain , .

But apply complex vitamin remedies intramuscularly makes sense only if acute pains in the joints or back appear, with , alcoholic polyneuropathy. They are made for 10-14 days. But if we are talking O chronic course disease and frequent relapses, such injections are ineffective.

In some cases, conventional pain medications do not bring the desired effect. Then the method of injection and stretching can be practiced. This process occurs as follows: the patient lies on his stomach, the doctor finds the most painful points and indurations in the muscles, and injects the solution perpendicularly. Immediately after the injection, passive stretching of the muscle is performed, then a hot compress is placed at the injection site. After it is removed, it is necessary to carry out active movements so that the painful muscle moves actively.

Novocaine blockade of the back is carried out in order to "turn off" the muscles. That is why it is important that the injection point is as close as possible to the exit points of the nerves. Accordingly, if the patient has an injection, the intercostal space is carried out, with inflammation of the sciatic nerve - at greater trochanter hips, in case - at the outer edge of the extensor of the back. Epidural blocks are also performed in case of chronic pain, for example, in patients with herniated discs . But in any case, you need to know, before a back blockade is performed, what it is and what the consequences of such treatment may be.

To relieve back pain, the so-called triad injection is sometimes used. The composition of the triplet injection includes, and , all three drugs are mixed in one syringe. But this remedy is used in case of back pain infrequently. So-called hot shot Do not use for back pain.

In order to use any drugs, the list of which you will find below, requires strict medical indications. It is the specialist who can determine whether it is advisable to use B vitamins, NSAIDs, chondoprotectors, muscle relaxants. This list is provided only to familiarize you with the variety of medicines. It is up to the attending physician to determine whether the disease can be treated with a certain remedy, how often to give injections, what doses to use, what injections are given for a hernia of the spine.

B vitamins for back pain

Currently, there is a large list of painkillers and injections that contain vitamins of group B. You can also take medicines in the form of tablets, but vitamins in ampoules are more effective. The list of drugs, which include vitamins of this group, is quite wide. Below you can find brief description such funds.

All drugs contain the same components: thiamine , pyridoxine , cyanocobalamin , medocaine .

Contains in packs of 5 ampoules or 10 ampoules.

Indicated in syndromes of disorders of the nervous system and neurological diseases as part of complex treatment. The following indications are determined:

trigeminal nerve, paresis facial nerve, neuritis;
back pain associated with diseases of the spine, and neurological symptoms(, lumbago, intercostal neuralgia, radicular syndrome, etc.);
muscle cramps, diabetic and alcoholic polyneuropathy, shingles.

Not always the information provided by drug manufacturers is true. So, recently drug manufacturers (Cox-2 inhibitor) claimed to have the least side effects. However, this information was not confirmed in the research process.

Thus, in the process of choosing an NSAID, you should find out what painkillers are in tablets and injections. At the same time, it must be remembered that both the most powerful painkillers and drugs in ampoules have a number of side effects. They may be different. For example, a tool renders less pronounced negative impact on the gastrointestinal tract, without causing such negative changes in the stomach and intestines as other NSAIDs. LS give an analgesic effect, but at the same time, with prolonged use, they negatively affect cartilage. At the same time, the cost of drugs can vary greatly.

Patients who need pain medication should note that double doses of these medications do not relieve pain. Therefore, it makes no sense to replace an NVSP that does not help with another drug from the same group. In more detail, ointments for pain in the back are described below.

How to choose painkillers

Most often, the complex treatment of back pain in the lumbar region requires the appointment of a number of medications, including painkillers. But it’s not worth making a decision on what to do if you shoot through the lower back, and choosing painkillers or injections for lower back pain is not worth it. The question of what to do with back pain and how to relieve a very strong pain syndrome, you should immediately ask the doctor. As a rule, in addition to analgesics, the specialist also prescribes other drugs - vitamins, muscle relaxants, etc.

But even if there was a backache, what to do in this case and what first aid should be, it becomes clear after determining the causes and nature of the pain. Why a backache occurred, how to treat it, what the treatment regimen should be, the specialist can accurately determine after a complete study.

Chronic pain may be neuropathic , central , reflected .

Under the condition of acute pain, the specialist necessarily determines whether there is a risk of side effects from the gastrointestinal tract, as well as complications of a cardiovascular nature. If the probability similar complications low, then the doctor prescribes medications taking into account the following:

in the absence of dyspeptic symptoms - any NSAID drug;
in the presence of dyspepsia, it is better to use Ibuprofen (,), (Miloxicam);
at high probability the development of complications from the heart and blood vessels are prescribed, opioids. If the risk is moderate, Nimesulide is prescribed, but the indicators must be adjusted;
at increased risk gastrointestinal bleeding is prescribed together with NSAIDs, proton pump inhibitors ();
in case of risk of gastrointestinal diseases and complications from the heart and blood vessels, it is desirable to combine Nimesulide with Omeprazole and.

If a strong pain sensation subsides within 5-7 days, therapy should be continued until the pain is completely relieved. If sharp pain does not go away for a week, they prescribe not only anti-inflammatory, but also local anesthetics, muscle relaxants.

Local corticosteroids () can also be administered, but only if tuberculosis affecting the joints or spine is excluded.

If the pain still continues, and the anti-inflammatory does not give the desired effect, it is important to exclude infection, tuberculosis, manifestation of pain in the joints with, and etc.

Painkillers in injections

The main injections for osteochondrosis and other diseases, the names of which are provided below, are used for their intended purpose and according to the scheme determined by the doctor. Learn more about which injections are prescribed for cervical osteochondrosis and other diagnoses, you can find out directly in consultation with a specialist.

NVSP are indicated for use in order to symptomatic therapy osteoarthritis, ankylosing spondylitis, muscle pain, back pain, postoperative pain.

Price Amelotex - from 200 rubles, Movalis - from 700 rubles, Artrozan - from 300 rubles. Mesipol - from 200 rubles.

Ketoprofen

NVSP are contraindicated in such cases:

high sensitivity to the components of drugs;
lactation, pregnancy;
severe diseases of the liver and kidneys;
age up to 18 years;
inflammatory bowel disease;
bleeding of the gastrointestinal tract;
exacerbation of an ulcer;
cerebrovascular diseases;
severe vascular and heart diseases, ischemic heart disease, heart failure, severe somatic ailments.

You can not combine taking drugs with antiplatelet agents (acetyl salicylic acid, clopidogrel), prednisolone.

Caution is taken in diseases of the gastrointestinal tract, the presence Helicobacter pylori, edema, prolonged use of NSAIDs

The price of Artrozilen is from 200 rubles, Flamax is from 120 rubles, Ketonal is from 220 rubles, Flexen is from 300 rubles.

NVSP are administered intramuscularly, injections are administered deeply in the dose prescribed by the doctor. This takes into account the age of the patient, as well as how severe the pain and spasm are. People under 65 are prescribed the introduction of 10-30 mg every 4-6 hours. In case of impaired renal function, as well as in elderly patients, doses of 10-15 mg are prescribed every 4-6 hours. Such doses may also be administered as a single dose for pain relief. In this case, the duration of treatment should not be more than five days, and daily dose- no more than 60-90 mg.

The price of Ketorolac is from 100 rubles, Ketanov - from 120 rubles, Ketorol - from 150 rubles.

This component contains tools , Voltaren .

Numerous side effects may occur when using NVSP:

digestion : gastralgia, vomiting, nausea, hepatitis, ;
respiratory system : swelling of the larynx, shortness of breath,;
urinary system : nephritis, frequent urination, kidney failure swelling;
heart and blood vessels : increase in blood pressure, fainting, pulmonary edema;
nervous system : headache, psychosis, hyperactivity, dizziness, depression, blurred vision;
hematopoiesis : anemia, leukopenia, eosinophilia;
skin reactions : rash, peeling, Stevens-Johnson syndrome, Lyell's syndrome;
blood clotting : bleeding from wounds after surgery, rectal, gastric, nasal bleeding;
allergy : shortness of breath, swelling of the eyelids, wheezing, itching of the skin, a feeling of heaviness in the chest;
other manifestations : weight gain, swelling, heavy sweating.

The price of Diclofenac is from 50 rubles, Naklofen - from 60 rubles, Ortofen - from 50 rubles, Voltaren - from 300 rubles.

Lornoxicam

The lornoxicam component contains the agent . The cost of Ksefokam is from 700 rubles.

This component contains the .

In case of overdose, the following side effects may occur: abdominal pain, nausea, vomiting, peptic ulcers of the stomach, impaired renal function, metabolic .

At simultaneous reception NSAIDs and acetylsalicylic acid or other non-steroidal painkillers, as well as calcium preparations, orthosteroids, ethanol, increase the likelihood of developing ulcers and bleeding of the gastrointestinal tract. When used simultaneously with Paracetamol, the risk of nephrotoxicity increases.

The cost of Texamen is from 200 rubles.

Steroid drugs

Steroids include Prednisolone , .

After injections of this group of drugs, there is a rapid relief of pain, but the duration of their action is short. It should be noted that steroid drugs have a lot of contraindications, so they can only be used according to indications and under the supervision of a specialist. These drugs can be applied directly to the pain site. The blockade is carried out using a direct injection into the area of the lower back, where severe pain is noted. To conduct a blockade, corticosteroids are combined with Novocain or Ledocaine. The cost of Prednisolone is from 50 rubles.

If you have back pain or joint pain, you can also take medicine for joint and back pain in tablets. Previously, it was believed that painkillers for joint pain do not work as quickly and effectively, and at the same time, strong painkillers for joint pain cause serious side effects from the digestive system.

However, at present, experts suggest that both tablets and painkillers for pain in the joints and back provide the same bioavailability of the active substances. Side effects when using oral and injectable agents are also the same. Therefore, a specialist can offer both the name of the tablets and the names of intramuscular injections for joints when prescribing a treatment regimen.

NSAIDs in the form of tablets

If there is a pulling, stabbing and other types of back pain, the doctor may recommend the following pills:

Name	Active ingredient	Price
Arcoxia	etoricoxib	the cost of Arcoxia - from 450 rubles.
Celebrex	celecoxib	the cost of Celebrex tablets (Celecoxib) - from 500 rubles.
Nise, Nimika,	nimesulide	the cost of Nise is from 200 rubles, Nimika - from 250 rubles, Nimulid - from 150 rubles.
Texamen, also tenoxicam is contained in the preparations Tenoctil, Tenicam, Tilkotil.	tenoxicam	cost Texameni (Texameni) - from 250 rubles.
Nalgezin	naprxen	price from 150 rubles.
Meloxicam, Artrozan, Movalis, Amelotex	meloxicam	cost from 250 rubles.
Ketorolac, Ketarol, Ketanov	ketorolac	cost from 50 rubles.
Flexen, Bystrumcaps, Ketonal, Artrosilene	ketoprofen	cost from 150 rubles.
Faspik, Nurofen, Ibuprofen, Burana	ibuprofen	cost from 20 rubles.
Ortofen, Naklofen, Diklak, Voltaren	diclofenac	cost from 30 rubles.
Aertal	aceclofenac	Aertal cost from 400 rubles.
Xefocam	lornoxicam	cost from 130 rubles.

Combined pain medications

In the funds And includes diclofenac and paracetamol. The cost of Penoxen - from 130 rubles, Dolaren - from 100 rubles.

Chondroitin sulfate - an anti-inflammatory agent, which is indicated for the treatment of diseases of the spine, joints, intervertebral hernia, etc. The drug slows down the resorption process bone tissue, improves the exchange of calcium and phosphorus in cartilaginous tissues, stops the destruction of cartilage and connective tissues, promotes tissue repair. Reviews indicate that these drugs reduce pain and increase the mobility of the joints, the spine. Since the active substance has a structural similarity with heparin. Consequently, the use of this agent (Mukasad and others) stops the formation of blood clots in the subchondral and synovial bed.

The cost of Chondrogard is from 850 rubles, Chondrolon - from 110 rubles, Mukosat - from 600 rubles, Artradol - from 750 rubles.

A modern remedy - a concentrate of small breeds sea fish which regulates metabolism cartilage tissue. The composition of the bioactive concentrate contains ions of potassium, copper, sodium, calcium, iron, zinc, as well as amino acids, peptides, mucopolysaccharides. In the process of taking, stimulation of the restoration of cartilage tissue, suspension of the destruction of bone and cartilage tissues is noted. As a result, during treatment with the drug, the severity of pain decreases.

The medicine is prescribed only for adult patients suffering from polyosteoarthrosis, osteochondrosis. It must be administered by deep intramuscular injection at a dose of 1 ml per day. Treatment lasts 20 days. In case of damage to the joints, you can administer the drug at a dose of 1-2 ml inside the joint 1 time in 3-4 days, the course is 5-6 injections. The cost of funds - from 1500 rubles.

The appearance of pain in our body signals the presence of problems in it. It indicates the development of diseases, pathological processes that pose a threat to human health. It's always alarm signal to which you need to pay attention.

When severe pain occurs, a person tries to get rid of it as soon as possible and looks for a suitable medicine. Such drugs are called analgesics. At the same time, they do not have a therapeutic effect on the cause of pain, but only help to get rid of it for a while, reduce fever, relieve pain. muscle tension.

What are effective drugs: ointment, tablets, injections, patches for pain relief? Let's talk about it today:

pain relief pills

In its own way chemical nature, as well as pharmacological properties, all painkillers are divided into two groups: non-narcotic and narcotic.

Non-narcotic analgesics (non-steroidal anti-inflammatory drugs) are prescribed to relieve pain various etiologies. Pain relievers will help here: Analgin, Paracetamol, Ibuprofen, Voltaren, Naproxen, etc.

Narcotic pain pills are usually prescribed to relieve severe pathological conditions: myocardial infarction, oncological diseases, injuries, etc. In these cases, drugs such as Alfentanil, Buprenorphine, as well as Butorphanol, Morphine, etc. will help.

Painkillers: ointment for pain relief

There are special ointments with analgesic, anti-inflammatory effect, which are excellent for arthritis, neuralgia and arthrosis. They are used for joint pain, sciatica, osteochondrosis, hemorrhoids. With inflammation hemorrhoids Butadione ointment will help. In diseases of the joints, spine, in the treatment of neuralgia, ointments with bee venom: Viprosal, Finalgon.

As a broad-spectrum pain reliever, ointments can be used: Efkamon, Benge, Finalgon, as well as Efkomon, butadione ointment and balm " Golden Star". Only these funds can not be used for skin lesions.

Injections, injections for pain relief

With severe pain in the back, joints, muscles, painful periods, headache, toothache, burns and even oncological diseases, an injection of Ketorol will help. The effect after the injection occurs in about half an hour.

With acute inflammation, exacerbations chronic diseases, you can make an injection with Voltaren. It is a very effective anti-inflammatory, antipyretic, analgesic.

With osteochondrosis, you can use drugs: Don, Alflutop, Elbon. They have a moderate analgesic, anti-inflammatory effect, but they effectively help to restore cartilage tissue.

The best, most effective and fastest pain reliever that can be used at home is an intramuscular injection with a 2 ml formulation. analgin and 2 ml. diphenhydramine. Relief comes very quickly.

Analgesic patches

Modern medicine has recently used special plasters that help in the treatment of many diseases. Among them are those that effectively relieve pain.

For example, the Qizhen plaster (developed by Tibetan doctors) is intended for headaches. With negative sensations in the back, joints, the well-known warming Pepper plaster. At painful periods you can use Frauplast, which has warming, relaxing properties.

For cancer patients, patches with an analgesic - lidocaine are prescribed. For very severe pain, use Durogesic. This is very strong remedy causes euphoria, helps to fall asleep, but is addictive.

Other drugs

Sometimes, at negative states the body does not need painkillers at all. Other medicines are needed here. For example, with painful menstruation or intestinal colic, it is better to take not an analgesic, but an antispasmodic, for example: no-shpu. If the intestines are bursting from accumulated gases, espumizan will help.

With severity, soreness behind the sternum, it is better to drink vasodilator tablet, For example, . If negative sensations are disturbing due to inflammation of the esophagus, stomach diseases, it is better to take the drug - antacid: almagel, phosphalugel. If you have a headache, take your blood pressure. Perhaps it is increased, which was the cause of negative sensations. Then you need to take not an analgesic, but antihypertensive drug.

Remember, the main thing to do after pain relief is to see a doctor. Be sure to establish its cause. Long-term self-medication with any analgesics is unacceptable. Tablets may cause peptic ulcer, and injections - to diseases of the liver, kidneys. So keep that in mind and stay healthy!

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Severe muscle pain can be of varying intensity. They occur against the background of autoimmune diseases, after injuries, hypothermia. Muscle pain appears after physical activity. Muscle pain is often indicative of serious illnesses associated with the articular and ligamentous apparatus. By their nature, they can be pressing, sharp or blunt. Therapeutic drugs are used to relieve pain oral agents produced in tablets.

Types of medicinal preparations

Non-steroidal anti-inflammatory drugs, non-narcotic and narcotic analgesics, and opioid drugs are often used to relieve muscle and joint pain.

Non-steroidal anti-inflammatory drugs

NVPS are used for pain relief in acute painful, inflammatory processes that are associated with severe pain and inflammation in the muscles or joints. Non-steroidal anti-inflammatory pills have side effects.

Taking NVPS adversely affects the mucous membrane of the gastrointestinal tract. Therefore, they are prescribed in combination with drugs that reduce gastric secretion. NVPS include the following drugs.

Diclofenac tablets, which have a long-term effect, are used for moderate and mild myalgia.
Ibuprofen is an anti-inflammatory, pain reliever. It is used to reduce the inflammatory process, the painful condition.

Non-steroidal anti-inflammatory drugs are effective not only for the treatment of pain syndromes, but also reduce inflammation in muscles and joints.

headaches, dizziness;
hallucinations, sleep disturbance;
muscle hypotension;
abdominal pain, nausea;
low blood pressure;
allergic rashes.

When you receive high dose the drug, it is necessary to wash the stomach, take absorbents. During pregnancy, lactation, muscle relaxants are prescribed only if serious condition, under medical supervision.

Analgesics

Medications intended for pain relief are natural origin. Analgesics are classified according to certain criteria.

Non-narcotic action

Non-narcotic analgesics are simultaneously drugs that have analgesic, antipyretic, anti-inflammatory effects on the body.

Analgesics have a wide therapeutic range. While taking the tablets, they have a lasting effect. They are not permanently addictive.

Paracetamol is a non-narcotic antipyretic analgesic. The tool has an analgesic effect on moderate pain syndrome with muscle and joint pain.
Acetylsalicylic acid, which has not only an antipyretic effect, but also relieves minor pain.
Tablets containing metamizole (Analgin, Sulpirin) have an average effect on muscle and joint pain. The effect of taking the tablets lasts from 3 to 5 hours.
Painkillers containing ketolorac (Ketanov, Ketoprofen) give a strong analgesic effect for muscle pain.

Non-narcotic analgesics are the main medicines for the relief of pain in the joints and muscles. They are not addictive.

Narcotic action

Narcotic analgesics are prescribed only if the pain syndrome has not been removed with the help of muscle relaxants or NSAIDs. Medicines of this series are dispensed exclusively by prescription. They can cause physical and mental dependence. Narcotic analgesics inhibit pain impulses by acting on opioid receptors in the brain.

Non-narcotic drugs have the following side effects:

allergic reaction;
nausea, pain in the abdomen;
high risk of peptic ulcer.

The main contraindications for the use of non-narcotic analgesics are:

intolerance to components;
exacerbation of the disease of the gastrointestinal tract.

TO absolute contraindications for the use of narcotic analgesics include:

respiratory failure;
traumatic brain injury;
pregnancy and lactation;
age up to one year.

Side effects include:

allergic reactions;
urinary retention, constipation;
sedative action;
hypotension.

To avoid side effects, you should take analgesics should be strictly on the advice of a doctor.

Pain significantly impairs the quality of life. Many begin to take painkillers uncontrollably. This can lead to serious consequences. If you experience pain associated with, you should consult a doctor. Self-medication is unacceptable.

We recommend reading related articles:

Often, when a person goes to the doctor with pain in the intervertebral hernia, he prescribes non-steroidal anti-inflammatory drugs to the patient. Like other drugs, NSAIDs are dangerous manifestation of side effects, which can be easily avoided if the drug is taken exactly according to the instructions. Such drugs not only relieve the symptoms of a hernia, but also relieve the inflammatory processes that characterize this problem.

Not so long ago, NSAIDs were popular in medicine short action, the effect of taking which lasted only the first 1-2 hours. These drugs include Ortofen, Naproxen, Ibuprofen and Ketorolac. Nowadays, many other non-steroidal anti-inflammatory drugs with prolonged action have spread, the effect of which lasts for a whole day. Long-term action eliminates the need for them reusable which greatly reduces the risk of side effects.

Diclofenac ointment is one of the the best means to relieve pain that makes itself felt during a hernia of the lumbar. This is a proven drug that has been recommended by doctors for many years to patients with problems associated with the musculoskeletal system. Derived substance phenylacetic acid acts as the main active ingredient in ointment. This acid inhibits three types of cyclooxygenases. The course of treatment with Diclofenac is a maximum of two weeks;
Another valid, reliable and, most importantly, safe remedy to relieve the symptoms of a hernia - Effectum cream (), which includes only natural ingredients, so its use does not threaten side effects, does not interfere with the work of the gastrointestinal tract. Taking the cream will help relieve pain, swelling and inflammation. Apply the cream 2-3 times a day until the pain disappears;
Probably, there is not a single adult who would not know about Fastum Gel, which can provide therapeutic effect. It contains the active ingredient ketoprofen, as well as Excipients with a healing effect, such as menthol, lavender oil and neroli;
Another popular gel is Voltaren emulgel containing diclofenac, due to which it has a strong analgesic and anti-inflammatory effect, quickly relieves pain during a hernia not only in the spine, but also in the legs. The use of this drug is almost completely safe, which has been proven in the course of an abundance of clinical studies;
Movalis is over modern drug than the previously mentioned diclofenac ointment. Movalis is one of the selective varieties of non-steroidal anti-inflammatory drugs, and the effect of using this drug is felt at much lower dosages;
The use of Ibuprofen is tolerated by patients much more easily than Diclofenac. This drug is indicated even for pregnant women and children, and its effect is as strong as that of Diclofenac;
Ketoprofen has an anti-inflammatory and analgesic effect that is more than ten times greater than that of ibuprofen. The only caveat is this remedy prohibited for those who smoke and abuse alcoholic beverages;
The use of Indomethacin after a week can damage the mucosa of the gastrointestinal tract. That's why this medicine should not be taken by people with ulcers.

Here, perhaps, are the most effective remedies that better than others help to cope with pain in patients suffering from an intervertebral hernia. It is worth considering that when using ointments that contain non-steroidal anti-inflammatory drugs, you should avoid applying them to damaged skin and contact with mucous membranes. If, after rubbing the ointment, swelling, redness, scales, itching and any other unpleasant rashes or sensations appear on the skin, immediately stop using the drug. Ointments containing diclofenac are dangerous due to the appearance of photosensitivity.

Drugs such as Diclofenac sodium, Ketoprofen, Indomethacin, Surgam, Naproxen and Aspirin are not recommended for use by patients suffering from poor clotting blood, as they reduce the loss of platelets and increase the duration of blood clotting, which can lead to hemorrhagic syndrome.

Take it to your wall:

Painful sensations in the muscles can occur due to different reasons- severe overexertion during training, accidental sprain or bruise. Professional athletes are especially susceptible to injuries of the musculoskeletal system, but also a person leading a normal lifestyle, in different situations may run into this problem. To take off discomfort, anesthetic ointments are used for muscle pain. Depending on the composition, they are able to have an analgesic, anti-inflammatory effect. More about different means read below.

How to choose an ointment or gel for muscle pain

To cope with the pain that affects the muscles, joints, special ointments help, however, so that they have therapeutic effect, you need to choose them correctly. It is not recommended to buy pharmacy drugs on your own without first consulting a doctor. Anesthetic ointments for muscles and joints are prescribed taking into account the following factors:

during severe inflammation, the specialist prescribes drugs containing substances that remove puffiness and swelling;
with muscle pain, post-traumatic syndromes analgesics are used;
if stagnant processes occur in soft tissues that provoke pain, ointments with a warming, irritating, cooling effect are prescribed;
ointments with chondroprotectors help from joint pain.

Which doctor to contact

To begin with, if you suffer from muscle or joint pain, you need to contact a local therapist who will conduct a preliminary examination, and then refer you to more detailed diagnostics diseases to the right specialist. Pain syndrome can be treated by a rheumatologist, if it is arthrosis, arthritis, if the patient is in pain due to neuralgia, you need to contact a neurologist. And an osteopath will help you with pain from osteochondrosis.

Types of anesthetic ointments

There are many types of drugs that help relieve inflammation, reduce swelling, improve blood circulation and save a person from pain. They need to be chosen correctly, it is desirable to do this together with professional doctor. Below you will find out what painkillers are, how much they cost in Russia (Moscow, St. Petersburg and other cities). Having familiarized yourself with popular drugs, you can find a suitable one or choose the necessary analogue.

Painkillers and anti-inflammatory

Most muscle pain is associated with inflammatory processes occurring in soft tissues. At severe inflammation It is not recommended to use drugs that have a warming effect. Warming ointments are used at the next stages of treatment, after swelling has decreased. Preparations designed to relieve swelling, as a rule, contain analgesics that reduce pain. However, sometimes the disappearance of pain is achieved by a significant anti-inflammatory effect, which is given by the components of the drug. Read more about the types of medicinal ointments below.

Ketonal

Composition: Ketoprofen, excipients.

It acts as an analgesic, has an anti-inflammatory effect, helps relieve swelling. It does not allow the enzymes involved in the inflammatory process to be released. The active substance of the drug, when applied, penetrates into subcutaneous tissue where it has a therapeutic effect.

Application: Take a few centimeters of the cream squeezed out of the tube, apply to the skin over the affected area. The layer should be thin. Apply this amount three times a day. Use Ketonal for no more than two weeks without consulting a doctor.

Cost: 30 grams - from 280 rubles.

Composition: Ketoprofen, additional auxiliary components.

The non-steroidal anti-inflammatory drug "Fastum-gel" helps to relieve inflammation in the tendons, muscles and joints, reduce pain, improve blood circulation at the site of injury. Thanks to the gel base, the medicine quickly penetrates the soft tissues and removes severe pain. It is used for injuries, sprains, bruises, dislocations.

How to apply: do not apply to the affected area. a large number of means so that it lies thin layer. Repeat the procedure once or twice a day. Rub the anesthetic is required until the gel is completely absorbed into the skin. The course of treatment should not exceed ten days. The tool is not addictive and does not have a systemic effect.

Cost: 100 grams - from 215 rubles.

Dolgit

Ingredients: Ibuprophenum, auxiliary components.

It has anti-inflammatory, analgesic effect, reduces swelling and swelling. The drug is intended for people suffering from pathologies musculoskeletal system: arthritis, articular syndrome with gout, osteoarthritis, sciatica, osteochondrosis with radicular syndrome, lumbago, tendovaginitis, sciatica. "Dolgit" is also indicated for muscle pains of a rheumatic and non-rheumatic nature. It is used for dislocations, sprains, muscle tears, post-traumatic edema.

How to use: five to ten centimeters of gel are applied with soft massage movements to the site of injury. You need to rub until the product is completely absorbed. Duration of application: three times a day for up to two to three weeks.

Cost: gel 5% - from 100 to 160 rubles.

Kapsikam

Consists of: Dimethylsulfoxydum, Camphora, Terbinthinae oleum rectified, excipients.

It is used for joint and muscle pain, arthritis. The active substance dimethyl sulfoxide promotes deep penetration of the remaining components into soft tissues. The tool helps to improve blood circulation, so that the recovery of the affected areas is faster. It can be used during a warming massage for athletes, with osteochondrosis, neuralgia, sciatica. Before use, you need to make sure that there is no allergy to the components of the drug.

Application: apply no more than three grams of the drug to the affected area, this must be done using a special applicator. Then you need to rub the tool. Repeat the procedure three times a day for ten days.

Cost: from 190 to 230 rubles.

Finalgon

Consists of: Nonivamide, Nicoboxil, excipients.

Nonivamide has an analgesic effect, nicoboxyl, a vitamin of group B, promotes vasodilation and improves blood circulation at the site of muscle pain. The combined action of these drugs provides a vasodilating effect. Thanks to him, redness of the skin at the site of pain is much less. During application, a local increase in temperature appears, which indicates the penetration of these substances into soft tissues.

How to use: Apply the cream with the enclosed applicator (half a centimeter to an area approximately the size of the palm of your hand). You can cover the affected area with a woolen scarf to make the pain relievers more active. Repeat the procedure three times a day for ten days.

Cost: 20 grams from 280 rubles.

Consists of: Terbinthinae oleum rectified, auxiliary components.

Acts as an antiseptic, has an irritating effect on the affected area. The active substance of the drug plant origin, penetrating under upper layer epidermis, irritates tissues, providing blood flow to the affected area. It is used against neuralgia, muscle pain, sciatica, rheumatism and neuritis.

The agent is applied twice a day to the affected area, the skin is rubbed during application. To enhance the effect of the drug, the skin is covered from above with a special warming bandage.

Price: for 25 grams from 40 to 70 rubles.

Nicoflex

Ingredients: Capsicum annuu, ethyl nicotinate, hydroxyethyl salicylate, other excipients.

The active ingredients of the anesthetic ointment have an analgesic, vasodilating, warming effect. The drug has irritating effect, which contributes to the flow of blood to the affected areas of soft tissues. The anti-inflammatory effect of the drug contributes to the rapid reduction of pain. The analgesic effect lasts about an hour after application. Joint mobility improves.

Apply the cream to the place where it hurts, in a thin layer, gently and gently rubbing it. Wash your hands before and after use. You need to use Nikoflex once a day, the total period is three days.

Price: 50 grams - from 200 rubles.

ibuprofen

Ingredients: Ibuprophenum, excipients.

It has an analgesic and anti-inflammatory effect, penetrating deep into muscle tissues. When applied, it improves blood microcirculation, normalizes vascular permeability, as a result of which inflammation decreases. The drug reduces swelling, removes redness of the skin. The joints become more mobile, which is especially important for arthritis. "Ibuprofen" is used for muscle pain, osteoarthritis, osteochondrosis.

Squeeze out five to ten centimeters of the product, depending on the size of the area of \u200b\u200binflammation, apply to it, rub gently. Repeat the procedure three times every day, the duration of the course will be determined by the doctor.

Price: for 25 grams from 26 rubles.

Nurofen

Ingredients: Ibuprophenum, additional components.

Due to the inhibition of the synthesis of prostaglandins, the drug has an anti-inflammatory and analgesic effect on the affected area. Designed for the treatment of arthritis, osteochondrosis, osteoarthritis, back pain, sprains and swelling, muscle pain. Effective for neuralgia. After application, with the penetration of the active substance, a slight reddening of the epidermis is possible, slight tingling.

Application: take the required amount of gel (up to ten centimeters), apply a thin layer to the affected area, rub. Use no more than four times a day for a maximum of two weeks. Wash hands after application.

Cost: 50 grams from 150 rubles.

Voltaren

Ingredients: Diclofenac, other components.

Indications: active substance the drug helps to anesthetize the affected areas, relieve the inflammation that has appeared, improve blood circulation, which leads to a decrease in swelling, edema. In case of injuries, Voltaren helps to regenerate connective tissue cells, restores ligaments, tendons, muscles. The medicine is effective for osteochondrosis of the lumbar and thoracic spine, arthritis, muscle pain, sprains.

Application: smear the gel on previously cleansed, dry skin. The layer should be thin. Repeat the procedure up to four times a day, the treatment period should not exceed two weeks. Wash your hands after application.

Price: from 160 to 600 rubles.

Ingredients: Nimesulidum, methyl salicylate, Menthlumi, other excipients.

Local anesthetic medicine helps to relieve inflammation, remove swelling, and relieve pain. Able to effectively deal with unpleasant pain in the joints and muscles. After applying the drug, blood circulation in the affected area is noticeably enhanced, and the menthol contained in the composition has a cooling and soothing effect on the upper layers of the epidermis.

Application: squeeze three centimeters of gel into clean hands, apply to the place where you feel pain, rubbing the drug is optional. Repeat the procedure up to four times, the duration of treatment is usually one to two weeks.

Cost: gel 20 grams - from 160 to 180 rubles.

Indomethacin

Ingredients: Indomethacinum, excipients.

Indications: this anesthetic helps to remove the inflammatory process, relieve swelling, get rid of skin swelling. With joint pain, it helps to increase the range of motion, it helps well with arthritis during an exacerbation of gout, with osteochondrosis, muscle pain, inflammation of soft tissues, and ligament damage.

Application: children can apply no more than a centimeter of the drug per day, from twelve years old - a maximum of three centimeters, adults - no more than fifteen centimeters. It is allowed to use no more than twice a day. The duration of treatment is one to two weeks.

Cost: 30 grams - from 45 rubles.

Warm up

Warming ointments to relieve muscle, joint pain are used for injuries, bruises. Their action is to increase the filling of damaged tissues with blood. Doctors say that directly at the time of injury, a warming ointment should not be used. It has an effective warming effect only after a couple of days, during the rehabilitation period. These drugs are good to use for the prevention of injuries, before going to the gym, for example. Check out the most effective remedies for muscle pain from this group below.

Ingredients: hydroxyethyl rutosides, active ingredient - rutin (belongs to the vitamin P group).

Widely used by athletes who are involved in race walking, marathons, triathlon or all-around. It is used to treat varicose veins, venous ulcers, dermatitis, superficial thrombophlebitis. Additionally, "Venoruton-gel" well improves the tone of the veins, is popular as effective remedy in the fight against diseases of the musculoskeletal system. Use it if you need to relieve swelling that has arisen on a damaged area of \u200b\u200bthe body. Is a good remedy from muscle pain.

Application: Apply the gel to the skin in the painful area, twice a day. Massage the ointment with massage movements so that it is completely absorbed into the tissue.

Cost: 150 rubles for 40 grams of warming gel.

deep relief

Compound: active substances- ibuprofen, levomenthol.

Effectively relieves even severe pain different origin, for example, with rheumatoid arthritis, osteoarthritis, sciatica, rheumatic lesions soft tissues, inflammatory processes of the joints and muscle injuries. In addition to pain relief, it has an anti-inflammatory effect. It is used as an effective means for removing morning stiffness joints.

Application: Pierce the sealed tube with a spike in a cap with reverse side. Apply the ointment to the sore spot, rub gently until completely absorbed by the skin. Repeat this procedure two or three times daily. Observe the interval in the application - at least four hours. The course of treatment should not exceed 10 days. If the doctor deems it necessary, treatment may be extended. Protect your eyes from getting the gel on the mucous membrane.

Cost: 100 grams of 5% gel costs 490 rubles.

Dolobene

Ingredients: sodium heparin, dimethyl sulfoxide, dimethyl sulfoxide, rosemary oil, trometamol, isopropanol, citronella oil.

The medium not only anesthetizes, but also relieves swelling, swelling. It is widely used to relieve hematomas, inflammation of muscles, soft tissues, tendons. Good for healing closed injuries, bruises, with sprains. It is prescribed for epicondylitis of the shoulder, periarthritis shoulder joint, acute neuralgia.

Apply to the damaged area of the body in a thin layer two to four times a day. If you are using this pain reliever with a bandage, apply the gel and allow a couple of minutes for the medication to be absorbed before you can tie the fabric tightly. The course of treatment depends on the duration of the illness or rehabilitation after injury.

Cost: for 50 g you will pay 313 rubles.

Myaton

Compound: medicinal plants, oils and other excipients.

Athletes use this remedy after training to relax muscles, as well as before physical exertion for a warming effect. Used during recovery therapeutic massage. Additionally, the cream is good for the treatment of various injuries of muscles, tendons. Has anti-inflammatory and antiseptic action.

How to use: Apply a small amount to the affected area of the muscle or tendon, rub in well, because the medicine has a greasy consistency.

The price of a 50-gram tube is 400 rubles.

Cooling

Any cooling ointment should be applied immediately after a closed-type injury, bruise. This is the first aid, which will be an effective help for removing pain due to its cooling effect. These drugs also relieve the inflammatory process well, swelling at first. They usually contain anesthetics, anticoagulants, menthol, essential oils. You can get to know them in more detail later.

Ben Gay

Ingredients: menthol, methyl salicylate.

Means for relieving pain in the joints, muscles. It has an anti-inflammatory effect, relieves stiffness of the body in the morning. An ointment is prescribed by doctors to eliminate pain in different departments spine caused by sprain. "Ben-Gay" is also called a sports balm, because it relieves muscle fatigue after intense physical exertion, training.

Application: squeeze a large amount, rub into sore spots. It is rapidly absorbed by the skin. The procedure is repeated up to four times a day with an interval of several hours. The course of treatment is at the discretion of the doctor, depending on the duration of the symptoms.

Cost: 248 rubles for 50 g.

Flexall

Composition: except auxiliary components preparation - aloe vera extract, vitamin E, camphor oil, menthol.

Indications: effective remedy strong action known all over the world. Mainly used in professional sports for warming up muscles before training and relieving muscle fatigue after. An excellent preventive method against injuries during physical exertion, for example. Flexall ointment is quickly absorbed into the subcutaneous layer and immediately begins to act on sore spots. It has an anti-inflammatory, fast analgesic effect.

Application: apply the ointment to the surface of the skin, distributing a thin layer over the disturbing area. Do not use rubbing movements - the cream should be absorbed by itself (you should wait a couple of minutes).

Cost: 700 rubles for a tube of 113 gr.

Bystrumgel

Composition: the main active ingredient is ketoprofen, auxiliary ones are rectified ethanol, trometamol, essential oils: lavender, neroli.

Indications: Effectively used for the treatment inflammatory diseases joints, traumatic lesions of tendons, muscles, ligaments. Prescribed by physicians as aid to relieve pain, inflammation, swelling with torticollis, bursitis, arthritis, tendonitis, lumbago. An effective drug during the treatment of bruises, dislocations, injuries of the ligaments or meniscus of the knee.

Application: apply and spread the ointment evenly in a small amount over the entire area of the affected area twice daily. Rub the drug in smooth movements until it is completely absorbed into the skin. To increase the effect of the remedy and speed up the effect of the medicine after application, use a dry bandage.

Cost: for 50 g of gel you will give 227 rubles.

Ingredients: escin, salicylic acid.

Indications: used during injuries, bruises of soft tissues. Effectively helps with sprains or ruptures of ligaments, hematomas. Doctors prescribe this drug during post-traumatic or post-operative hematomas. Well relieves swelling of soft tissues. Used to take off severe symptoms in diseases of the veins in the legs ( varicose veins veins), venous insufficiency. It has proven itself as a remedy for severe pain, heaviness in the legs, calf cramps on lower limbs, edema. Used in combination with other drugs.

Application: Apply with rubbing, lightly massaging movements on the affected areas of the body. Apply up to four times daily. The course of treatment is no more than 14 days.

Cost: 116 rubles for 50 g.

homeopathic remedies

homeopathic remedies are used with the addition of components of plant, mineral or animal origin. The principle of action of these drugs is to cause certain symptoms of diseases that help to cope with the existing disease. Not all doctors welcome this method, but according to reviews, many drugs homeopathic composition help to effectively deal with muscle pain. What ointments of this group will help with muscle pain, read below.

Traumeel S

Composition: Arnica montana, Aconite napellus, Atropa bella-donna, Bellis perennis, Echinacea, Achillea millefolium, Echinacea purpurea, Hamamelis virginiana, Hepar sulfuris, Matricaria recutita, Mercurius solubilis Hahnemanni, Symphytum officinale, Calendula officinalis, Hypericum perforatum.

Indications: a means of complex action - helps relieve pain, inflammation, regenerate tissues, stop bleeding. When applied, the vascular tone increases, local blood circulation improves, it relieves pain. The drug is indicated for the treatment of muscle pain, burns, injuries, operations, diseases of the musculoskeletal system, diseases of the oral cavity, skin diseases.

Application: apply a small layer over the affected area, repeat the procedure two to three times a day. The duration of treatment depends on the severity of the pathology.

Price: from 500 rubles per 50 grams.

Target T

Composition: Placenta totalis suis, Rhus toxicodendron, Sanguinaria canadensis, Acidum silicicum, Acidum Thiocticum, Arnica montana, Cartilago suis, Solanum dulcamara, Sulfur, Symphytum officinale, Coenzymum, Embryo totalis suis, Funiculus umbilicalis suis, Nadidum, Natrium diethyloxal aceticum.

Indications: anesthetic ointment is a chondroprotector, helps to remove the inflammatory process, acts as an analgesic. Good for muscle pain, osteoarthritis, osteochondrosis, chondropathy, rheumatic fever.

Application: children after six years of age are allowed to take the drug. Apply the product in an amount of 3-4 centimeters on the skin, rub. Apply up to five times a day. The course of treatment is up to six weeks.

Price: 50 grams from 240 rubles.

Sabelnik

Ingredients: olivae oleum, Comarum palustre, oleum de lignis abiegnis, peppermint oleum, eucalyptus oleum, oleum lini, Matricaria chamomilla, lanolin, glycerol.

Helps against tumors, edema, has anti-inflammatory and analgesic effects. It helps to purify the blood, lymph, improves blood circulation in the affected areas. Doctors prescribe this drug for arthrosis, sciatica, arthritis, osteochondrosis, intervertebral hernias, inflamed lymph nodes, muscle pain.

How to use: Apply a thin layer to the skin up to four times a day. The maximum course time is thirty days.

Price: 40 grams from 250 rubles.

Larkspur

Ingredients: Symphytum officinale, Apitoxin, excipients.

Indications: the larkspur contained in the preparation "Larksuckle bee venom" helps to reduce the inflammatory process, restore bone tissue, heals microtraumas and removes toxic substances. Bee venom gives a warming, analgesic, anti-inflammatory, bactericidal effect. Substances in the composition of the ointment relieve muscle pain, help with diseases of the musculoskeletal system, articular pathologies.

Application: Rub a little ointment into the affected areas in a circular motion until it is completely absorbed. Repeat the procedure three times a day. Use the medicine for up to five weeks.

Price: from 70 rubles per 50 ml.

Video

If you want to learn more about how joint recovery processes take place, what lies behind the popular methods of getting rid of joint pain, see next video. The host talks in detail about how you can get rid of a strong pain syndrome by spending minimal amount Money and effort. After watching an interesting video, you will learn about the types of drugs that are prescribed by doctors to reduce muscle and joint pain, and also how to help yourself restore joints at home.